Per Carlbring
  • Email
  • Facebook
  • Linkedin
  • Twitter
  • YouTube
  • RSS
  • News
  • Publications
  • MSc thesis
  • Questionnaires
  • CV
  • Contact
Search the site...
  • Swedish
  • English
  • Home
  • Nyheter @en
  • Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness

Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness

Posted on 2017-05-20 by Per Carlbring in Nyheter @en
0

Vestibular rehabilitation is an effective intervention for dizziness due to vestibular dysfunction, but is seldom provided. We aimed to determine the effectiveness of an Internet-based vestibular rehabilitation program for older adults experiencing dizziness in primary care.

We undertook a single-center, single-blind randomized controlled trial comparing an Internet-based vestibular rehabilitation intervention (Balance Retraining, freely available from https://balance.lifeguidehealth.org) with usual primary care in patients from 54 primary care practices in southern England. Patients aged 50 years and older with current dizziness exacerbated by head movements were enrolled. Those in the intervention group accessed an automated Internet-based program that taught vestibular rehabilitation exercises and suggested cognitive behavioral management strategies. Dizziness was measured by the Vertigo Symptom Scale–Short Form (VSS-SF) at baseline, 3 months, and 6 months. The primary outcome was VSS-SF score at 6 months.

A total of 296 patients were randomized in the trial; 66% were female, and the median age was 67 years. The VSS-SF was completed by 250 patients (84%) at 3 months and 230 patients (78%) at 6 months. Compared with the usual care group, the Internet-based vestibular rehabilitation group had less dizziness on the VSS-SF at 3 months (difference, 2.75 points; 95% CI, 1.39–4.12; P <.001) and at 6 months (difference, 2.26 points; 95% CI, 0.39–4.12; P = .02, respectively). Dizziness-related disability was also lower in the Internet-based vestibular rehabilitation group at 3 months (difference, 6.15 points; 95% CI, 2.81–9.49; P <.001) and 6 months (difference, 5.58 points; 95% CI, 1.19–10.0; P = .01). Internet-based vestibular rehabilitation reduces dizziness and dizziness-related disability in older primary care patients without requiring clinical support. This intervention has potential for wide application in community settings.

Read the full paper here:

Geraghty, A. W. A., Essery, R., Kirby, S., Stuart, B., Turner, D., Little, P., Bronstein, A., Andersson, G., Carlbring, P., & Yardley, L. (2017). Internet-Based Vestibular Rehabilitation for Older Adults With Chronic Dizziness: A Randomized Controlled Trial in Primary Care. The Annals of Family Medicine, 15(3), 209-216. doi:10.1370/afm.2070

Meet the Balance Retraining Team

Chronic Dizziness, Internet Interventions, Internetbehandling, Just published, Ny artikel, Primary care, Vestibular rehabilitation

Subscribe to my Newsletter!

Keep you up-to-date with what is happening. One mail per month.

News

  • The Future of Mental Health Treatment: Prescription Digital Therapeutics, Cyberpsychology, and Care Intelligence Solutions

    2022-04-11
  • Open PhD position in Psychology (with salary!)

    2022-03-09
  • Integrating virtual realities and psychotherapy

    2021-08-03
  • Internet-based cognitive behavior therapy for depression, social anxiety disorder, and panic disorder: Effectiveness and predictors of response in a teaching clinic

    2021-07-14
  • New impact factor for “my” journal

    2021-07-01
  • Dismantling, optimising, and personalising internet cognitive behavioural therapy for depression: a systematic review and component network meta-analysis

    2021-05-04
  • New meta-analysis on genes and psychotherapy outcome in anxiety disorders

    2021-02-25
  • The Prevalence and Clinical and Sociodemographic Factors of Problem Online Gambling: A Systematic Review

    2021-02-02
  • Online Consultations in Mental Healthcare During the Covid-19 Outbreak: An International Survey Study on Uptake and Experiences

    2020-12-17
  • NEW STUDY: How to succeed in keeping your New Year’s resolution

    2020-12-09
  • Virtual Reality exposure therapy for public speaking anxiety in routine care: a single-subject effectiveness trial

    2020-11-30
  • Sudden gains and large intersession improvements in internet-based psychodynamic treatment (IPDT) for depressed adolescents

    2020-11-30
  • Seeking neutral: A Virtual Reality-based person-identity-matching task for attentional bias modification

    2020-11-30
  • Measuring Alliance Toward Embodied Virtual Therapists in the Era of Automated Treatments

    2020-07-09
  • Measuring Alliance Toward Embodied Virtual Therapists in the Era of Automated Treatments

    2020-07-09
  • Internet Interventions for Adults with Anxiety and Mood Disorders: A Narrative Umbrella Review of Recent Meta-Analyses

    2020-05-19
  • In the Absence of Effects: An Individual Patient Data Meta-Analysis of Non-response and Its Predictors in Internet-Based Cognitive Behavior Therapy

    2020-05-18
  • Are physical activity and sedentary behavior related to depression?

    2020-05-13
  • Comparing internet-delivered cognitive therapy and behavior therapy with telephone support for insomnia disorder: a randomized controlled trial

    2020-04-27
  • Deposit Limit Prompt in Online Gambling for Reducing Gambling Intensity: A Randomized Controlled Trial

    2020-04-27

Popular subjects:

Anxiety Attention bias training Cancer CBT Cognitive behavior therapy cognitive flexibility Conference content analysis Depression Effectiveness Exposure therapy fMRI Gambling group therapy ICBT Internet-based treatment Internetbehandling Internet Interventions internet treatment Just published meta-analysis Negative effects Ny artikel Online gambling open access Panic disorder Ph.D. Dissertation PhD Physical activity Problem gambling Procrastination Psychometric PTSD qualitative Randomized controlled trial responsible gambling Review Smartphone @en Social anxiety social anxiety disorder social phobia Stepped care Thesis Treatment Virtual reality
Copyleft (ɔ) 2020 Professor Per Carlbring